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61.发明授权Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features 有权用于部署具有组织压缩特征的外科缝合钉的外科缝合系统和钉仓公开(公告)号：US07604151B2
公开(公告)日：2009-10-20
申请号：US11824415
申请日：2007-06-29
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical staple having at least one projection formed thereon. In various embodiments, the projection is formed on a crown of the surgical staple. In one various embodiment, the projection surrounds, or is positioned adjacent to, at least one deformable member of the surgical staple. In one embodiment, the projection can apply an increased compressive force or pressure to soft tissue surrounding the deformable member prior to the deformable members puncturing a hole in the soft tissue. As a result of the increased compressive force or pressure on the tissue, after staple deployment, blood flow proximate deformable member puncture holes can be reduced.
摘要翻译： 一种具有形成在其上的至少一个突起的外科用缝合钉。 在各种实施例中，突起形成在手术钉的冠上。 在一个不同的实施例中，所述突起围绕或邻近所述手术钉的至少一个可变形构件定位。 在一个实施例中，突出部可以在可变形部件穿刺软组织中的孔之前对增加的可变形部件周围的软组织施加增加的压缩力或压力。 由于在组织上增加的压缩力或压力，在缝合部署之后，靠近可变形构件穿刺孔的血流可以减少。
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公开(公告)号：US20090001128A1
公开(公告)日：2009-01-01
申请号：US11824389
申请日：2007-06-29
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical stapler including a “breakaway” washer that is inserted into an anvil. In various embodiments, the washer can include a circular inner portion and a circular outer portion. In one various embodiment, the outer portion may include a number of staple guide sections that define openings through which staple ends of surgical staples are driven when the surgical stapler is fired and are thereafter bent, or turned, by the anvil. In various embodiments, the staple ends may then contact and be retained by the staple guide sections so that the staple ends do not re-penetrate or otherwise re-puncture stapled tissue. In one various embodiment, the washer can be dissolvable or bioabsorbable.
摘要翻译： 一种外科缝合器，包括插入砧座的“分离”垫圈。 在各种实施例中，垫圈可以包括圆形内部部分和圆形外部部分。 在一个不同的实施例中，外部部分可以包括许多缝合钉引导部分，其限定开口，当外科缝合器被点燃时，外科缝合钉的末端被驱动，然后由砧座弯曲或转动。 在各种实施例中，缝合端部然后可以接合并由缝钉引导部分保持，使得钉末端不再穿透或以其它方式重新穿刺缝合的组织。 在一个各种实施例中，洗衣机可以是可溶解的或生物可吸收的。
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公开(公告)号：US20090001124A1
公开(公告)日：2009-01-01
申请号：US11824274
申请日：2007-06-29
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A staple cartridge including first and second staple cavities therein where the first cavity can define a first axis and the second cavity can define a second axis. In various embodiments, the first axis can be transverse to the second axis. In one embodiment, the first and second cavities can extend in directions which are not parallel to each other. In various embodiments, staples deployed from such first and second staple cavities can produce a staple pattern which can better constrict blood vessels in soft tissue and reduce blood flow therethrough.
摘要翻译： 其中包括第一和第二缝合腔的钉仓，其中所述第一腔体可以限定第一轴线，并且所述第二腔室可以限定第二轴线。 在各种实施例中，第一轴线可以横向于第二轴线。 在一个实施例中，第一和第二腔可在彼此不平行的方向上延伸。 在各种实施例中，从这种第一和第二缝合钉腔部署的缝钉可以产生可以更好地收缩软组织中的血管并且减少血液流过其中的缝合图案。
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64.发明授权公开(公告)号：US09427255B2
公开(公告)日：2016-08-30
申请号：US13470781
申请日：2012-05-14
申请人： David B. Griffith , Sean P. Conlon , William B. Weisenburgh, II , Christopher J. Hess , Kempton K. Carroll, II
发明人： David B. Griffith , Sean P. Conlon , William B. Weisenburgh, II , Christopher J. Hess , Kempton K. Carroll, II
CPC分类号： A61B17/3423 , A61B1/00154 , A61B1/00158 , A61B1/041 , A61B1/3132 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00283 , A61B2017/3445
摘要： A cannula assembly including a seal for an endoscopic internal magnetic camera tether. The seal may include stacked compliant membranes with an aperture in each membrane through which a camera tether may pass. The apertures may overlap. The at least one aperture may be arranged as a slit. Each of the apertures may comprise a wedge-shaped gap. The membranes may include engagement members that couple to engagement members on the cannula assembly. The cannula assembly may provide separate ports for the camera tethers and for a trocar or other endoscopic instrument passing through the cannula assembly. The cannula assembly also may include a rotating housing with two openings and a seal arranged in each opening. The cannula assembly may include a sleeve that encases a cannula tube. The sleeve may include a seal on its end and a channel on its periphery through which a camera tether may pass.
摘要翻译： 套管组件，其包括用于内窥镜内部磁性照相机系绳的密封件。 密封件可以包括具有每个膜中的孔的堆叠的柔顺膜，照相机系绳可以穿过该孔。 孔可以重叠。 该至少一个孔可以被布置成狭缝。 每个孔可以包括楔形间隙。 膜可以包括联接到套管组件上的接合构件的接合构件。 套管组件可以为照相机系绳提供分开的端口，以及针对通过插管组件的套管针或其他内窥镜器械。 插管组件还可以包括具有两个开口的旋转壳体和布置在每个开口中的密封件。 套管组件可以包括套管套管。 套筒可以包括其端部上的密封件和其周边上的通道，照相机系绳可以穿过该通道。
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公开(公告)号：US09125654B2
公开(公告)日：2015-09-08
申请号：US13181779
申请日：2011-07-13
申请人： Taylor W. Aronhalt , Frederick E. Shelton, IV , Chester O. Baxter, III , Mark S. Ortiz , Kreena Rajeev Modi , Joseph E. Young , Barry C. Worrell , Christopher J. Schall , Jerome R. Morgan , William B. Weisenburgh, II , Christopher J. Hess , Emily A. Heeb
发明人： Taylor W. Aronhalt , Frederick E. Shelton, IV , Chester O. Baxter, III , Mark S. Ortiz , Kreena Rajeev Modi , Joseph E. Young , Barry C. Worrell , Christopher J. Schall , Jerome R. Morgan , William B. Weisenburgh, II , Christopher J. Hess , Emily A. Heeb
IPC分类号： A61B17/068 , A61B17/115 , A61B17/34 , A61B17/00 , A61B17/072
CPC分类号： A61B17/0293 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/3417 , A61B2017/00287 , A61B2017/00353 , A61B2017/00477 , A61B2017/0225 , A61B2017/0287 , A61B2017/07257 , A61B2560/0443 , F04C2270/0421
摘要： Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.
摘要翻译： 圆形装订器和砧座组件。 砧座组件可以具有可折叠的砧支撑构件，其可以穿过患者的开口插入，然后膨胀以附接到在其上具有钉形成表面的砧座板组件。 砧座支撑构件可以这样的方式附接到砧座板组件，使得当砧座组件联接到圆形订书机的装订头时，订书钉形成表面与被装载在装订头中的订书针大致对准。 公开了各种不同的砧支撑构件和砧板组件。
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公开(公告)号：US08672208B2
公开(公告)日：2014-03-18
申请号：US12718165
申请日：2010-03-05
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical stapler including an anvil, a staple cartridge, and a buttress material removably retained to the anvil and/or staple cartridge. In various embodiments, the staple cartridge can include at least one staple removably stored therein which can, when deployed, or fired, therefrom, contact the buttress material and remove the buttress material from the anvil and/or staple cartridge. In at least one embodiment, the anvil can include at least one lip and/or groove configured to removably retain the buttress material to the anvil until deformable members extending from the surgical staple are bent by the anvil and are directed toward and contact the buttress material.
摘要翻译： 一种外科缝合器，包括可拆卸地保持在砧座和/或钉仓上的砧座，钉仓和支撑材料。 在各种实施例中，钉仓可以包括可拆卸地存储在其中的至少一个钉，其可以在展开时或从其中点燃，从而与支撑材料接触并且从砧座和/或钉仓移除支撑材料。 在至少一个实施例中，砧座可以包括至少一个唇缘和/或凹槽，所述至少一个唇缘和/或凹槽被构造成将支撑材料可移除地保持在砧座上，直到从外科缝合钉延伸的可变形构件被砧座弯曲并被引导并接触支撑材料 。
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67.发明授权Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features 有权用于部署具有组织压缩特征的外科缝合钉的外科缝合系统和钉仓公开(公告)号：US08668130B2
公开(公告)日：2014-03-11
申请号：US13480263
申请日：2012-05-24
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical staple having at least one projection formed thereon. In various embodiments, the projection is formed on a crown of the surgical staple. In one various embodiment, the projection surrounds, or is positioned adjacent to, at least one deformable member of the surgical staple. In one embodiment, the projection can apply an increased compressive force or pressure to soft tissue surrounding the deformable member prior to the deformable members puncturing a hole in the soft tissue. As a result of the increased compressive force or pressure on the tissue, after staple deployment, blood flow proximate deformable member puncture holes can be reduced.
摘要翻译： 一种具有形成在其上的至少一个突起的外科用缝合钉。 在各种实施例中，突起形成在手术钉的冠上。 在一个不同的实施例中，所述突起围绕或邻近所述手术钉的至少一个可变形构件定位。 在一个实施例中，突出部可以在可变形部件穿刺软组织中的孔之前对增加的可变形部件周围的软组织施加增加的压缩力或压力。 由于在组织上增加的压缩力或压力，在缝合部署之后，靠近可变形构件穿刺孔的血流可以减少。
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公开(公告)号：US08590762B2
公开(公告)日：2013-11-26
申请号：US11824274
申请日：2007-06-29
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A staple cartridge including first and second staple cavities therein where the first cavity can define a first axis and the second cavity can define a second axis. In various embodiments, the first axis can be transverse to the second axis. In one embodiment, the first and second cavities can extend in directions which are not parallel to each other. In various embodiments, staples deployed from such first and second staple cavities can produce a staple pattern which can better constrict blood vessels in soft tissue and reduce blood flow therethrough.
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69.发明授权Staple cartridges for forming staples having differing formed staple heights 有权用于形成具有不同成形订书钉高度的订书钉的装订盒公开(公告)号：US08567656B2
公开(公告)日：2013-10-29
申请号：US13072923
申请日：2011-03-28
申请人： Frederick E. Shelton, IV , Darrel M. Powell , Michael A. Murray , Christopher J. Hess , William B. Weisenburgh, II , Jerome R. Morgan , Steven G. Hall
发明人： Frederick E. Shelton, IV , Darrel M. Powell , Michael A. Murray , Christopher J. Hess , William B. Weisenburgh, II , Jerome R. Morgan , Steven G. Hall
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/32 , A61B2017/00004 , A61B2017/0023 , A61B2017/00371 , A61B2017/00898 , A61B2017/00929 , A61B2017/0641 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07278 , A61B2017/2923 , A61B2017/320052 , A61B2090/034 , A61B2090/037
摘要： A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.
摘要翻译： 公开了一种用于装订装置的钉仓，其具有可沿轴向方向可选择性地致动的致动器和可在打开位置和关闭位置之间选择性移动的砧座部分。 本发明的各种实施例包括可移动地支撑第一和第二订书钉驱动器的盒体。 订书钉驱动器各自在其上支撑钉，并且用于在致动器致动时将订书钉驱动成与砧形成接触。 本发明的各种实施例使得订书钉的最终成形高度可以变化，以便对捕获在缝钉内的软组织施加各种夹紧力和压力。 在至少一个实施例中，缝钉可以包括形成在其上的冠，其可用于调节或控制由钉施加的夹紧力和/或压力。
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公开(公告)号：US20130217970A1
公开(公告)日：2013-08-22
申请号：US13399358
申请日：2012-02-17
申请人： William B. Weisenburgh, II , Christopher J. Hess , Rudolph H. Nobis , David B. Griffith , Robert M. Trusty
发明人： William B. Weisenburgh, II , Christopher J. Hess , Rudolph H. Nobis , David B. Griffith , Robert M. Trusty
摘要： An apparatus for cleaning a lens, or one or more lenses, of an endoscopic camera while the endoscope is deployed in a patient during a medical procedure, such as a minimally invasive procedure, or a therapeutic or diagnostic procedure, is disclosed. The cleaning apparatus generally includes a conduit having a fluid delivery port, an alignment system, and a flexible supply tube to fluidly connect the conduit to one or both of a source of a fluid and a suction device.
摘要翻译： 公开了一种用于在诸如微创程序或治疗或诊断过程之类的医疗过程中将内窥镜部署在患者体内时清洁内窥镜照相机的透镜或一个或多个透镜的装置。 清洁设备通常包括具有流体输送端口，对准系统和柔性供应管的导管，以将导管流体地连接到流体源和抽吸装置的一个或两个。
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